Die "neue" Leitlinie Allergieprävention aus Sicht des Pädiaters

Translated title of the contribution: New guidelines on allergy prevention - A pediatric viewpoint

Matthias Volkmar Kopp*

*Corresponding author for this work


Evidence-based guidelines are important for primary prevention of allergic diseases, i.e. atopic dermatitis, allergic rhinoconjunctivitis, and allergic asthma. Scientific publications were searched for the period 2008 - 2013 in the electronic databases and of originally 3,284 hits, 165 studies (15 systematic reviews, 1 meta-analysis, 31 RCTs, 65 cohort-, 12 case-control, and 41 cross sectional studies) were reviewed. The revision of this guideline in 2014 resulted in (1) a conformation of existing recommendations, (2) substantial revisions, and (3) new recommendations. The recommendation on breast feeding over 4 months was confirmed. If breast feeding is not possible, hypoallergenic formulas for babies with a family history of atopic disease is the recommended alternative feeding strategy. Neonates without a family history of atopy can receive a cow's milk formula. Actually there is no scientific evidence for a prolonged introduction of solid food with respect to allergy prevention. Therefore the guideline for allergy prevention suggests introducing solid food with the beginning of the 5th month. The advice to avoid environmental tobacco smoke and the suggestion to vaccinate children according to current recommendations were grossly unchanged, as well as the avoidance of overweight, fish consumption (during pregnancy/ breast feeding and as solid food in the first year), reduction of the exposure to indoor and outdoor air pollutants. The recommendation regarding pet keeping were alleviated and specified: While dogs in a household are not associated with an increased allergy risk, families at risk for atopic disease should not acquire a cat. Newly introduced was the information, that children born via Caesarean section showed up to be at increased risk for the development of asthma later in life.

Translated title of the contributionNew guidelines on allergy prevention - A pediatric viewpoint
Original languageGerman
Issue number8
Pages (from-to)385-390
Number of pages6
Publication statusPublished - 01.08.2015

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)


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